U.S. patent application number 12/584540 was filed with the patent office on 2010-01-07 for dynamic therapy bed system.
Invention is credited to Craig Poulos.
Application Number | 20100000020 12/584540 |
Document ID | / |
Family ID | 37517206 |
Filed Date | 2010-01-07 |
United States Patent
Application |
20100000020 |
Kind Code |
A1 |
Poulos; Craig |
January 7, 2010 |
Dynamic therapy bed system
Abstract
A therapeutic mattress system is provided for treating a
patient. The mattress system has a mattress having plurality of
vertically elongated cells extending from a base layer that are
arranged in a row and column grid arrangement. Each cell has a
sidewall and a patient support surface extending therefrom, and a
cavity defined interior of the sidewall, the patient support
surface and the base layer. The elongated cells are further grouped
into a first group of cells and a second group of cells such that
the cavities of the cells of the first group are fluidly
interconnected to define a first group chamber and the cavities of
the cells of the second group are fluidly interconnected to define
a second group chamber. Further, the chamber of the first group is
not fluidly interconnected with the chamber of the second group.
Additionally, the cells of the first group alternate with the cells
of the second group diagonally across the mattress. Each of the
grouping of cells has an inlet port and an exit port. Air can be
injected into the respective group of cells at the inlet port and
at least a portion of the air in each group of cells can be
exhausted from the respective exit ports. A blower assembly is also
provided to provide and exhaust air from the respective air
chambers in one of a standard, alternating pressure, rotation,
wound therapy, percussion or vibration mode.
Inventors: |
Poulos; Craig; (Wilmette,
IL) |
Correspondence
Address: |
MCDERMOTT, WILL & EMERY LLP;Attn: IP Department
227 WEST MONROE STREET, SUITE 4400
CHICAGO
IL
60606-5096
US
|
Family ID: |
37517206 |
Appl. No.: |
12/584540 |
Filed: |
September 8, 2009 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11502633 |
Aug 10, 2006 |
7587776 |
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12584540 |
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11349683 |
Feb 8, 2006 |
7536739 |
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11502633 |
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60707074 |
Aug 10, 2005 |
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Current U.S.
Class: |
5/713 |
Current CPC
Class: |
A61G 7/05784 20161101;
A61G 7/05776 20130101; A61G 7/05707 20130101 |
Class at
Publication: |
5/713 |
International
Class: |
A47C 27/08 20060101
A47C027/08 |
Claims
1. A therapeutic mattress system for treating a patient, the
mattress system comprising: a mattress having a plurality of
vertically elongated cells extending from a base layer and being
arranged in a row and column array, each cell having a sidewall, a
patient support surface extending therefrom and a cavity defined
interior of the sidewall the patient support surface and the base
layer, the elongated cells being grouped into a first group of
cells and a second group of cells, the cavities of the cells of the
first group being fluidly interconnected to define a first group
chamber, and the cavities of the cells of the second group being
fluidly interconnected to define a second group chamber, the first
group chamber not being fluidly interconnected with the second
group chamber, the first group of cells having an inlet port and an
exit port to allow air to be injected into the first group of cells
at the inlet port and to allow at least a portion of the air in the
first group of cells to be exhausted at the exit port, the second
group of cells having an inlet port and an exit port to allow air
to be injected into the second group of cells at the inlet port and
to allow at least a portion of the air in the second group of cells
to be exhausted at the exit port.
2. The therapeutic mattress system of claim 1, wherein the cells of
the first group alternate with the cells of the second group
diagonally across the mattress.
3. The therapeutic mattress system of claim 1, wherein the mattress
has a plurality of adjacent edges, the cells of the first group
extending in a plurality of diagonal groupings from one edge of the
mattress to an adjacent edge of the mattress, and the cells of the
second group extending in a plurality of diagonal groupings from
one edge of the mattress to an adjacent edge of the mattress.
4. The therapeutic mattress system of claim 3, wherein the diagonal
groupings of cells of the first group alternate about the mattress
with the diagonal groupings of cells of the second group.
5. The therapeutic mattress system of claim 1, wherein the
elongated cells have a height of at least 3.5 inches.
6. The elongated mattress system of claim 1, wherein the elongated
cells have movement about six degrees of freedom, including both
directions in an x-axis, both directions in a y-axis and both
directions in the z-axis.
7. The elongated mattress system of claim 1, wherein the elongated
cells have a generally cylindrical shape.
8. The therapeutic mattress system of claim 1, further comprising a
blower connected to the entrance and exit ports of the first and
second group of cells.
9. The therapeutic mattress system of claim 1, further comprising a
blower that supplies air to each of the inlet ports of the chambers
of the mattress, and that exhausts air from the exit ports of the
mattress in an alternating manner whereby one of the first and the
second cell group has a first air pressure and the other of the
first and the second cell group has a second air pressure different
from the first air pressure.
10. The therapeutic mattress system of claim 9, further comprising
a valve connected to the exit ports of the mattress, the valve
operating to exhaust air from the cell groups in an alternating
manner whereby one cell group has a first air pressure and the
other cell group has a second and different air pressure.
11. The therapeutic mattress system of claim 1, wherein the forces
and pressures pushing back on the patient by the mattress are kept
substantially equal at all points of contact on the patient.
12. The therapeutic mattress system of claim 1, further comprising
a non-air mattress component adjacent the mattress component to
form the overall patient surface, the non air-mattress component
having a top surface at generally the same height as the patient
support surface of the elongated cells.
13. The therapeutic mattress system of claim 1, wherein a non-air
mattress component is provided in an upper body section of the
therapeutic mattress system, and wherein the elongated cell
mattress component is provided in a portion of the lower body
section of the therapeutic mattress system.
14. The therapeutic mattress system of claim 1, wherein each
grouping of cells having a volume of air exerts a treatment force
on a patient on the mattress.
15. The therapeutic mattress system of claim 14, wherein the
treatment force is one of percussion, vibration, or alternating
pressure.
16. A therapeutic mattress system for treating a patient, the
mattress system comprising: a mattress having plurality of
vertically elongated cells extending from a base layer, the
vertically elongated cells being arranged in a row and column grid
arrangement, each cell having a sidewall and a patient support
surface extending therefrom, and a cavity defined interior of the
sidewall the patient support surface and the base layer, the
elongated cells being grouped into a first group of cells and a
second group of cells, wherein the cavities of the cells of the
first group are fluidly interconnected to define a first group
chamber, and wherein the cavities of the cells of the second group
are fluidly interconnected to define a second group chamber, the
first group chamber not being fluidly interconnected with the
second group chamber, the first group of cells having at least one
port to allow air to be injected into the first group of cells and
exhausted from the first group of cells, the second group of cells
having at least one port to allow air to be injected into and
exhausted from the second group of cells, wherein the inlet and
exit ports are distinct ports for each respective group of cells;
and, a blower having a first port in fluid communication with the
at least one port of the first group of cells, and a second port in
fluid communication with the at least one port of the second group
of cells, the blower supplying air to the respective ports of the
groups of in an alternating manner to have one of the first group
of cells and the second group of cells at a first pressure and the
other of the first group of cells and the second group of cells at
a second pressure, the second pressure being lower than the first
pressure at a first period of time and the second pressure being
greater than the first pressure at a second period of time.
17. The therapeutic mattress system of claim 16, wherein the cells
of the first group alternate with the cells of the second group
diagonally across the mattress.
18. The therapeutic mattress system of claim 16, wherein the
vertically elongated cells have movement about six degrees of
freedom, including both directions in an x-axis, both directions in
a y-axis and both directions in the z-axis.
19. The therapeutic mattress system of claim 16, wherein the group
of cells with the greater pressure still allows for at least
partial immersion of the patient in that group of cells to allow
for greater contact area to be achieved for dispersion of pressure
on generally all of the patients body.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation of U.S. patent
application Ser. No. 11/502,633, filed Aug. 10, 2006, which is a
continuation-in-part of U.S. patent application Ser. No. 11/349,683
(now U.S. Pat. No. 7,536,739), filed Feb. 8, 2006, which is a
continuation-in-part of U.S. Provisional Patent Application Ser.
No. 60/707,074, filed Aug. 10, 2005, all of which applications are
expressly incorporated herein by reference and made a part
hereof.
FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT
[0002] Not Applicable.
TECHNICAL FIELD
[0003] The invention relates to a dynamic therapy bed and mattress
system having several modes of operation for patient treatment,
including standard, percussion, vibration, rotation, alternating
pressure, wound therapy and various combinations thereof.
BACKGROUND OF THE INVENTION
[0004] Therapeutic alternating pressure, percussion and/or
vibrating bed systems are used in the care and treatment of
individuals, including hospital patients confined to a bed for an
extended period of time. Conventional therapeutic bed systems
utilize percussion and/or vibration to help avoid the build-up and
accumulation of fluid within the patient's lungs. Percussion and
vibration is typically administered to the patient's thoracic
cavity to aid with the draining or expectorant of fluid and mucus
from the patient's lungs. Conventional bed systems may also employ
rotation and/or alternating pressure to help the patient avoid the
onset of bed sores and/or to treat existing sores. Conventional bed
systems can include rotational components that are actuated by a
nurse or hospital staff member, or by an electronic control system
or pump. The present invention is designed to solve problems
inherent to the conventional dynamic therapy bed and mattress
systems, and to provide advantages and aspects not provided by
prior bed systems of this type. A full discussion of the features
and advantages of the present invention is deferred to the
following detailed description, which proceeds with reference to
the accompanying drawings.
SUMMARY OF THE INVENTION
[0005] The present invention generally provides a therapeutic
mattress and a therapeutic mattress system. According to one
embodiment the therapeutic mattress comprises an inflatable
mattress having a plurality of elongated cells, wherein the cells
are grouped together in a specific air chamber configuration to
allow for unique therapy resulting on a patient positioned on the
therapeutic mattress.
[0006] According to another embodiment, the mattress has a
plurality of vertically elongated cells extending from a base
layer, the vertically elongated cells being arranged in a row and
column grid arrangement. Each cell has a sidewall and a patient
support surface extending therefrom, and a cavity defined interior
of the sidewall and the patient support surface. The elongated
cells are grouped into a first group of cells and a second group of
cells, wherein the cavities of the cells of the first group are
fluidly interconnected to define a first group chamber, wherein the
cavities of the cells of the second group are fluidly
interconnected to define a second group chamber, and wherein the
first group chamber is not fluidly interconnected with the second
group chamber.
[0007] According to another embodiment, the cells of the first
group alternate with the cells of the second group diagonally
across the mattress.
[0008] According to another embodiment, the vertically elongated
cells have movement about six degrees of freedom, including both
directions in an x-axis, both directions in a y-axis and both
directions in the z-axis.
[0009] According to another embodiment, the first group of cells
have an inlet port and an exit port to allow air to be injected
into the first group of cells at the inlet port and to allow at
least a portion of the air in the first group of cells to be
exhausted from the exit port. The second group of cells also have
an inlet port and an exit port to allow air to be injected into the
second group of cells at the inlet port and to allow at least a
portion of the air in the second group of cells to be exhausted
from the exit port.
[0010] According to another embodiment, the therapeutic mattress
system includes a pump or blower to supply air to the mattress as
required. In one embodiment the pump/blower has a first port in
fluid communication with the inlet port of the first group of
cells, a second port in fluid communication with the exit port of
the first group of cells, a third port in fluid communication with
the inlet port of the second group of cells, and a fourth port in
fluid communication with the exit port of the second group of
cells.
[0011] According to another embodiment, the therapeutic mattress
system provides treatment to a patient through several modes of
operation, including standard, alternating pressure, percussion,
vibration, rotation, wound therapy and various combinations
thereof.
[0012] According to yet another embodiment, the pump/blower
supplies air to each inlet port in an alternating manner to have
one of the first group of cells and the second group of cells at a
first pressure and the other of the first group of cells and the
second group of cells at a second pressure. In one embodiment the
second pressure is lower than the first pressure at a first period
of time, and the second pressure is greater than the first pressure
at a second period of time.
[0013] Other features and advantages of the invention will be
apparent from the following specification taken in conjunction with
the following drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0014] To understand the present invention, it will now be
described by way of example, with reference to the accompanying
drawings in which:
[0015] FIG. 1 is a perspective view of one embodiment of a
therapeutic bed system;
[0016] FIG. 2 is a perspective view of the bed system of FIG. 1,
showing a patient support layer exploded from a plenum layer;
[0017] FIG. 3 is a perspective view of a head section of the
patient support layer;
[0018] FIG. 4 is a bottom view and a top view of the head section
of the patient support layer;
[0019] FIG. 5 is a perspective view of a torso section of the
patient support layer;
[0020] FIG. 6 is a perspective view of a lower body section of the
patient support layer;
[0021] FIG. 7 is a top and bottom perspective view of an activation
section of the patient support layer;
[0022] FIG. 7A is a perspective view of an alternate embodiment of
an array of cells for the patient support layer as provided in an
activation section;
[0023] FIG. 7B is an exploded view of a portion of the array of
patient support cells;
[0024] FIG. 7C is a top plan view of the array of patient support
cells of FIG. 7A;
[0025] FIG. 7D is a bottom plan view of the array of patient
support cell of FIG. 7A;
[0026] FIG. 8 is a bottom view, a side view and a top view of the
activation section of the patient support layer;
[0027] FIG. 9 is a perspective view of the bed system showing
rotational elements extending from an underside of the patient
support layer;
[0028] FIG. 10A is a perspective view of another embodiment of a
therapeutic bed system showing the activation section and the
patient support layer exploded from the plenum layer;
[0029] FIG. 10B is a perspective view of the activation section of
FIG. 10A having two plenum chambers;
[0030] FIG. 11 is a perspective view of a blower assembly of the
bed system;
[0031] FIG. 12 is a perspective view of an activation valve
assembly mounted to a lower surface of the plenum layer;
[0032] FIG. 13 is a perspective view of the activation valve
assembly;
[0033] FIG. 13A is a perspective view of an alternate embodiment of
the activation valve;
[0034] FIG. 13B is an exploded view of the activation valve of FIG.
13A;
[0035] FIG. 14 is an exploded view of the activation valve
assembly;
[0036] FIG. 15 is an end view of the activation valve assembly;
[0037] FIG. 16 is a cross-section of the activation valve assembly
taken along lines 16-16 of FIG. 15;
[0038] FIG. 17 is a schematic of the valve assembly of the bed
system;
[0039] FIG. 18 is a bottom view of another embodiment of an
alternating pressure mattress assembly;
[0040] FIG. 19 is a schematic view of a cell of the alternating
pressure mattress of FIG. 18;
[0041] FIG. 20 is a block diagram of a replacement therapeutic
mattress assembly; and,
[0042] FIG. 21 is a cross-sectional schematic of one embodiment of
a plenum utilized with the dynamic therapy bed system.
DETAILED DESCRIPTION
[0043] While this invention is susceptible of embodiments in many
different forms, there is shown in the drawings and will herein be
described in detail preferred embodiments of the invention with the
understanding that the present disclosure is to be considered as an
exemplification of the principles of the invention and is not
intended to limit the broad aspect of the invention to the
embodiments illustrated.
[0044] A dynamic therapy bed system 10 is shown in the figures.
Although the bed frame or support structure is not shown, it is
understood that the system 10 is intended for use with a variety of
conventional bed frames including those found in hospitals and
health care facilities. In one embodiment, the bed system 10
includes a patient support layer 110, a plenum layer 210, a blower
assembly 310, and an activation valve assembly 410. As explained in
greater detail below, the bed system 10 provides treatment to a
patient through several modes of operation, including standard,
alternating pressure, percussion, vibration, rotation, wound
therapy and various combinations thereof.
[0045] Referring to FIGS. 1-2, the patient support layer 110 is the
uppermost layer of one embodiment of the bed system 10 or mattress
and includes a head section 112, a torso section 114, an activation
section 116, and a lower body section 118. As explained below, in
one embodiment the activation section 116 is positioned within the
torso section 114 and is configured to apply alternating pressure,
percussion and/or vibration forces to treat the patient.
Alternatively, the entire patient support layer 110 may be an
activation section 116, such as with an full alternating pressure
mattress. In another configuration of the bed system 10, the torso
section 114 and head section 112 are combined as an integrated unit
that receives the activation section 116. The head, torso,
activation and lower body sections 112-118 each have an array of
cells 120 that are in fluid communication with other cells 120 in
each respective section 112-118. The cells 120 of the sections
112-118 collectively define a patient support surface. The cells
120 may be comprised of closed cell configurations (i.e., wherein
air pressure is generally maintained at a constant pressure in the
mattress) or open-cell configurations (i.e., wherein a blower or
other provider of air is connected to the mattress such that air
pressure in the chamber of the mattress can be varied real time).
Alternatively, any section of the patient support layer 110, other
than the activation section 116, may be made of a non-inflatable
component, such as foam, with an activation section 116 provided in
the non-inflatable component as necessary.
[0046] As shown in FIGS. 3 and 4, the head section 112 has an array
of cells 120 extending from a base 122. Each cell 120 has an upper
portion 124 with a top wall 126, and a lower portion 128. The top
walls 126 collectively define a head patient support surface 127 of
the head section 112. The top wall 126 may by flat or have an
alternate configuration such as a peaked star or otherwise as shown
herein. The lower portion 128 of each cell 120 includes a side wall
arrangement 130, wherein each interior side wall 130 includes an
opening 132. As shown in FIG. 5, in one embodiment the openings 132
are aligned to provide fluid communication between the cells 120,
allowing the blower assembly 310 or other provider of air to supply
air simultaneously to all cells 120 that are in fluid communication
within the section. In one embodiment the exterior side walls 130
lack an opening 132 since there is no cell 120 beyond the periphery
122a of the base 122. In one embodiment, the cells 120 have an
overall height of between 2.5'' and 10'', and preferably
approximately four inches, however, the overall height varies with
the design parameters of the bed system 10. Accordingly, the cells
120 are generally elongated vertically as opposed to typical cells
on certain alternating pressure pads. In one embodiment, the cells
120 are independent in structure in that they can attain movement
in at least six degrees of freedom as shown in FIG. 19, including
movement in both directions in an x-axis, both directions in a
y-axis and both directions in the z-axis. By having a mattress that
can move air from one cell 120 to adjoining cells 120 as necessary,
and by having air cells 120 that are able to move in multiple
directions assists in being able to immerse the patient in the
mattress 10 to reduce the overall pressure on the surface of the
contact areas of the patient.
[0047] The head section 112 includes an air supply fitting 134 and
an exhaust or relief fitting 138. As explained herein, with any
section of the patient support layer 110 the inlet port 134 may
also be utilized as an exit port such that only one port per
chamber is necessary. The blower assembly 310 supplies air via the
plenum layer 210 or directly to the cells 120 in the head section
112 to support the patient's head when it rests on the patient
support surface 127. The fitting 134 depends from a lower surface
of the base 122. In one embodiment, the head section 112 has a
three by eight array of cells 120 providing a rectangular
configuration to the section 112, however, the precise number of
cells 120 in the array can vary as well as the resulting
configuration of the head section 112. The cells 120 and the base
122 are formed from urethane, neoprene, or any other material
having similar strength and durability traits, wherein the material
thickness is preferably greater than 10 mils.
[0048] Referring to FIG. 5, in one embodiment the torso section 114
has an array of cells 120 that are typically similar to those found
in the head section 112. The top walls 126 of the cells 120
collectively define a torso patient support surface 127. In an
embodiment with an activation section 116, the torso section 114
also has an aperture 136 configured to receive the activation
section 116. Like the head section 112, the torso section 114
includes an air supply fitting 134 and an exhaust or relief fitting
138. The blower assembly 310 supplies air either directly to the
cells 120 or via the plenum layer 210 to the cells 120 in the torso
section 114 to support the patient's torso when it rests on the
support surface 127. In one embodiment, the torso section 114 has a
seven by eight array of cells 120 providing a rectangular
configuration to the section 114, wherein a number of cells 120 are
omitted to define the aperture 136. The aperture 136 is
cooperatively dimensioned to receive activation section 116, so the
precise configuration of the aperture 136 varies with the design
parameters of the bed system 10. As mentioned above, the head and
torso sections 112, 114 can be combined into a single unit of the
patient support layer 110.
[0049] As shown in FIG. 6, the lower body section 118 also has an
array of cells 120 that are similar to those found in the head and
torso sections 112, 114. The top walls 126 of the cells 120
collectively define a lower patient support surface 127 of the
section 118. Like the head section 112, the leg section 118
includes an air supply fitting 134 and an exhaust or relief fitting
138. The blower assembly 310 supplies air via the plenum layer 210
or directly to the cells 120 in the lower body section 118 to
support the patient's lower body region when it rests on the
support surface 127. In one embodiment, the lower body section 118
has an eight by eight array of cells 120 providing a square
configuration to the section 118, however, the configuration can be
varied depending upon design parameters including the size of the
cells 120.
[0050] Referring to FIGS. 7, 8 and 18, various embodiments of an
activation section 116 are disclosed. The activation section 116 is
configured to apply a therapeutic movement of cells 120. In one
embodiment this comprises alternating pressure in alternating
chambers of the mattress. IN another embodiment this comprises
applying a percussive and/or vibratory force, including to a
patient's torso region, however, it may also be utilized in other
areas of the patient support layer 110, such as the thoracic area.
The activation section 116 has an array of cells 120 that are
similar to that found in the head, torso and lower body sections
112, 114, 118. The top walls 126 of the cells 120 collectively
define a support and engaging surface 127 of the activation section
116. In a preferred embodiment the cells 120 within the activation
section 116 are separated into at least two groups--Group A and
Group B--whereby alternating pressure, alternating percussion
and/or vibration and/or a flotation force is applied to the patient
on a per group basis. As shown in FIGS. 8 and 18, the cells 120 in
Group A are in fluid communication with each other by a number of
channels 140, and the cells 120 in Group B are in fluid
communication with each other by a number of channels 142, but the
cells in Group A are not in fluid communication with the cells in
Group B. In a preferred embodiment, the channels 140, 142 connect
to the lower portion 128 of each cell 120. As a result of the fluid
communication, the Group A cells 120 define a first fluid
passageway for the supply and distribution of air to the cells 120
within Group A. Similarly, the Group B cells 120 define a second
fluid passageway for the supply and distribution of air to the
cells 120 within Group B. Accordingly, air can be supplied and
distributed to the groups as needed for percussion, vibration,
alternating pressure or a flotation/static state. Due to the array
of cells 120, in different embodiments both the Group A channels
140 and the Group B channels 142 may have internal and external
segments, meaning some channel segments are within the cell array
and some channel segments that are near the periphery of the base
122, however other orientations may be different. Some segments of
the channels 140, 142 are directed along diagonals, while other
segments are linear and are positioned along the periphery of the
base 122.
[0051] The activation section 116 also includes an air supply
fitting 134 for each channel 140, 142, whereby air can be
selectively supplied and distributed through the fitting 134 to a
group. In this manner, the blower assembly 310 or other supplier of
air supplies air initially to a lead cell 120 and the air is
distributed to the remaining cells 120 in the group via the
channels 140, 142. The activation section 116 includes an exhaust
or relief fitting 138 for each group that permits air to be
exhausted through the alternating valve assembly 410 during the
percussion and/or vibration modes. As explained in greater detail
below, when the bed system 10 is in the percussion mode and/or
vibration mode, in one embodiment the blower assembly 310 supplies
air through the fitting 134 to cells 120 in both Groups A and B,
however, air in Groups A and B is alternately exhausted through the
fitting 138 in controlled manner by the valve assembly 410. While
the blower assembly 310 constantly supplies air, the valve assembly
410 exhausts air in an alternating manner from cells 120 in one of
the Groups A and B to provide the percussion and/or vibration
desired by the operator. Alternately, in the alternating pressure
mode the blower assembly 310 generally provides air to increase the
pressure in one of the groups of cells 120 while air is exhausted
from the other group of cells, and then alternates to provide air
to the previously exhausted group of cells and exhaust air from the
previously inflated group of cells 120. As shown in FIGS. 7 and 8,
in one embodiment the activation section 116 has a four by four
array of cells 120 providing a square configuration to the section
114, however, the configuration can be altered depending upon
design parameters including the size of the cells 120 and the
dimensions of the activation section 116. For example, as shown in
FIG. 18 an alternating pressure activation section 116 may be a
full size mattress. Although the activation section 116 is only
shown as having the cell Groups A and B, other sections within the
patient support layer 110 may be so configured.
[0052] The patient support layer 110 can include an alternate array
of cells 720, wherein each cell 720 has an upper sub-cell member, a
middle sub-cell member and a lower sub-cell member. Collectively
the upper, middle and lower sub-cell members define a cell stack
721. The alternate array of cells 720 and the cell stack 721 can be
utilized in any section of the patient support layer 110, including
the head section 112, the torso section 114, the activation section
116 and/or the lower body section 118. FIGS. 7A-D provide an
example of one embodiment of a cell stack 721 as depicted in an
alternate activation section 716. As mentioned above, the cell
stack 721 has an upper sub-cell member 717, a middle sub-cell
member 718 and a lower sub-cell member 719, wherein the lower
sub-cell 719 is joined to the base layer 722. It is understood that
additional or less sub-cell members may be utilized without
departing from the scope of the present invention. Of course, the
cell stack 721 dimensions vary with the design of the sub-cell
members 717, 718, 719. The sub-cell members 717, 718, 719 have a
height of roughly 1.5 to 2.5 inches, causing the cell stack 721 to
have an overall height ranging between 4.0 and 12.5 inches, however
taller or shorter cell stacks may also be utilized. Generally, each
sub-cell member 717, 718, 719 has an upper portion 724 and a top
wall 726. In the upper sub-cell 717, the top wall 726 defines a
patient support surface 727, that is the means of percussion and/or
vibration and/or flotation for the patient. Therefore, the patient
support system 110 does not require a percussion and/or vibration
means separate from the cell stack 721. A lower portion 728 of each
sub-cell member 717, 718, 719 has a side wall arrangement 730. The
cells 720 and the cell stack 721 are made from thermoformed plastic
or a similar material. As an example of the formation process, the
sub-cell members 717, 718, 719 are individually thermoformed,
joined together to form the stack 721 and then the stack 721 is
connected to the base 722, such as via radio frequency welding.
Additionally, the base 722 can be preformed with raised segments or
channel segments therein.
[0053] As shown in FIG. 7B, the upper sub-cell member 717 is
positioned over the middle sub-cell member 718, and the middle
sub-cell member 718 is positioned over the bottom sub-cell member
719. The bottom sub-cell member 719 is sealed to the base layer 722
along the sealing line 723 (see FIG. 7D). Referring to FIG. 7B, in
one embodiment each sub-cell member 717, 718, 719 has at least one
orifice 727 that is operably connects that sub-cell to the
adjoining sub-cell or sub-cells. The operable connection of the
sub-cells 717, 718, 719 via the orifices 727 defines a fluid
passageway for the transmission of air from the lower sub-cell 719
through the middle sub-cell 718 to top sub-cell 717. The top
sub-cell 717 contains at least one orifice 727 (not shown in FIG.
7B) in a bottom wall 728 of the cell 720. Each middle sub-cell 718
has a top wall 726 with an orifice 727 that is aligned with the
orifice 727 in the top sub-cell 717 to define one segment of the
cell stack fluid passageway. Each middle sub-cell 718 has a bottom
wall with an orifice 727 that is aligned with the orifice 727 in
the bottom sub-cell 710 to define the remaining segment of the cell
stack fluid passageway. As mentioned above, the passageway allows
air to be transmitted between the sub-cells 717, 718, 719 of the
cell stack 721.
[0054] In another embodiment of the cell stack 721, the middle
sub-cell 718 is replaced by at least one tube (not shown) in fluid
communication with the orifices 727 in the top sub-cell 717 and the
lower sub-cell 719. Therefore, the tube facilitates the exchange of
air between the top and bottom sub-cells 717, 719. In yet another
version of the cell stack 721, the sub-cells 717, 718, 719 lack the
orifice 727 and instead have a breathable fabric layer that allows
for the passage of air between two or more sub-cells.
[0055] Similar to the cells 120 in the embodiment of the activation
section described above, the cell stacks 721 within the activation
section 716 are separated into at least two groups--Group A and
Group B--whereby alternating pressure, percussion and/or vibration
force, alternating pressure and/or flotation force is applied to
the patient on a per group basis. As shown in FIGS. 7C and D, the
cell stacks 721 in Group A are in fluid communication with each
other by a number of channels 740, and the cell stacks 721 in Group
B are in fluid communication with each other by a number of
channels 742, but the cells in Group A are not in fluid
communication with the cells in Group B. The channels 740, 742
generally connect to the lower sub-cell 719 of each cell stack 721
within the group. As a result of the fluid communication, the Group
A cell stacks 721 define a first fluid passageway for the supply
and distribution of air to the sub-cells 717, 718, 719 within Group
A. Similarly, the Group B cell stacks 721 define a second fluid
passageway for the supply and distribution of air to the sub-cells
717, 718, 719 within Group B. Accordingly, air can be supplied and
distributed to the groups as needed for alternating pressure,
percussion, vibration, or a flotation/static state. In general, air
is supplied from the channel 740 though the lower sub-cell 719 and
the middle sub-cell 718 to the upper sub-cell 717.
[0056] As shown in FIG. 2, in one embodiment a plenum layer 210 is
utilized. In such an embodiment the plenum layer 210 is generally
positioned below the patient support layer 110. In alternate
embodiments the plenum layer is not utilized and the cells of the
patient support layer are plumbed directly from the blower. The
plenum layer 210 has a bladder assembly 211 with a first air
bladder 212 that distributes air to and receives air from the head
section 112, a second air bladder 214 that distributes air to and
receives air from the torso section 114, and a third air bladder
216 that distributes air to and receives air from the lower body
section 116. The first air bladder 212 is operably connected to the
second air bladder 214 by a seam, and the second air bladder 214 is
operably connected to the third air bladder 216 by a similar seam,
both seams providing rigidity for the plenum layer 210.
[0057] The blower assembly 310 supplies air to the first air
bladder 212 through a primary channel 220 that longitudinally
extends through the second and third bladders 214, 216 and a
collection of flexible supply lines 222. Air is distributed from
the first air bladder 212 through a fitting 224 to the head section
112. The blower assembly 310 supplies air to the second air bladder
212 through a secondary channel 226 that longitudinally extends
through the third bladder 216 and a collection of flexible supply
lines 228. Air is distributed from the second air bladder 214
through a fitting 230 to the torso section 114. Instead of
utilizing a channel 220, 226, the blower assembly 310 supplies air
directly to the third air bladder 214 through a flexible supply
line 232. Air is distributed from the third air bladder 216 through
a fitting 234 to the lower body section 116. The primary and
secondary channels 220, 226 can be welded by a drop-stitch
technique to increase their strength and durability.
[0058] The blower assembly 310 supplies air to the activation
section 116 through a pair of tubes 240, 242 that extend
longitudinally along the third bladder 216 and an extent of the
second bladder 214. Specifically, a first tube 240 supplies air
from the blower assembly 310 through a fitting 244 to the Group A
cells 120, and a second tube 242 supplies air from the blower
assembly 310 through a fitting 244 to the Group B cells 120. In an
another embodiment, the first and second tubes 240, 242 are
replaced by a channel 220, 226 described above. A layer of foam may
placed over the plenum layer, including the fittings, tubes and
channels, to increase the patient comfort levels. The blower
assembly 310 can include valve means, such as a one-way valve, to
maintain a constant or static pressure in any of the bladders 212,
214, 261 and the activation section 216. It is understood, however,
that any of the plenums may be eliminated or replaced with tubing
directly from the blower/air supply to the cells.
[0059] An alternate plenum layer 960 is provided in FIG. 21. In
that embodiment, the plenum 960 includes an internal bladder member
962 encased in the outer plenum layer 964. The internal bladder
member 962 comprises a stringed material, such as a netting or
webbing, having a first layer 966, an opposing second layer 968 and
internal cross-members 970 connecting the first and second layers
966, 968. The internal cross-members 970 maintain the first and
second layers 966, 968 at a maximum spread distance therebetween.
Accordingly, a thinner plenum is a resultant of this structure.
Typically, the first and second layers 966, 968 of the internal
bladder member 962 are backed with a urethane or other type
material to make them substantially impervious to air flow
therethrough. The internal bladder member 962 is encased in the
outer plenum layer 964, thereby creating an internal plenum cavity
972. During such encasing, the outer plenum layer 964 is sealed to
the first and second layers 966, 968 as shown in Detail B of FIG.
21. Further, additional cavities 974 are created between the outer
surfaces of the first and second layers 966, 968 and the inner
surface of the outer plenum layer 964. These additional cavities
may be utilized as additional air bladders or plenums, or them may
be utilized as a cavity to house tubing directed to different
components of the system 10.
[0060] As shown in FIG. 9, the bed system 10 may also include a
rotation assembly 810, typically having a left rotation element 812
and a right rotation element 814. In the embodiment reflected in
FIG. 9, the rotation elements 812, 814 comprise a plurality of
inflatable bladders, herein shown as posts 816. In one embodiment
the rotation assembly 810 is positioned between the first air
bladder 212 and the third air bladder 216 in the plenum layer 210.
A central seam 818 bisects the elements 812, 814 to aid with the
rotational operation of the assembly 810. A chord extending through
the center of each group of posts 816 is parallel to the seam 818.
Alternatively, a single bladder 816 may be utilized for each
rotation element 812, 814, wherein the bladder 816 is placed on its
side and it longitudinal axis is parallel to the seam 818.
Preferably, the left and right rotation bladders are positioned
below a lower surface of the torso section 114 whereby rotation is
conducted on a per-side basis of the plenum layer 210. The left and
right air elements 812, 814 can be a single inflatable bladder or
multiple bladders each capable of having a variety of
configurations, including rectangular, square, triangular,
circular, etc. Similar to the first, second and third air bladders
212-216, the blower assembly 310 or some other supply of air
supplies air to the left and right rotation bladders. In another
embodiment, the left and right rotation bladders each comprise a
number of smaller bladders that function as a rotation unit for
rotation of each side portion of the patient support layer 110.
[0061] FIGS. 10A and 10B depict an alternate bed system 505,
wherein the bed system 505 includes an activation section 516
operably connected to a pair of chambers 544, 546. Instead of
distinct multiple bladders, the plenum layer 515 has a single
bladder 512 with an opening 536 to receive the chambers 544, 546.
The activation section 516 includes an array of cells 520 wherein
each cell 520 has a depending fitting 534 for fluid connection with
one of the chambers 544, 546. The activation section also includes
Group A and Group B cells. The Group A cells 520 are in fluid
communication with the chamber 544 through the fittings 534. The
chamber 544 has a supply fitting 550 for the supply of air from the
blower assembly 310 and an exhaust fitting 552 for the discharge of
air from the chamber. The Group B cells 520, through the fittings
534 and an extension piece 548, are in fluid communication with the
chamber 546. Like the chamber 544, the chamber 546 has a supply
fitting 550 for the supply of air from the blower assembly 310 and
an exhaust fitting 552 for the discharge of air from the chamber.
Therefore, the chambers 544, 546 act as smaller plenums for the
supply and/or exhaust of air from Group A and B in the activation
section 516. When the activation section 516 and the chambers 544,
546 are in an assembled position, the chamber 544 for Group A is
positioned between the activation section 516 and the chamber 546
for Group B.
[0062] As shown in FIG. 11, one embodiment of a blower assembly 310
for an embodiment of the bed system 10 includes a number of
components to supply air to the patient support layer 110 and/or
the plenum layer 210. These components include a blower or pump, a
number of control valves and manifolds, a power supply (typically
supplying 120 VAC), pressure transducers and other components
associated with the air supply and zone controls. Preferably, the
blower assembly 310 is mounted to the standard bed frame or support
structure without modification. The actual blower can be sized to
provide a sufficient amount of air to the support layer 110 for a
patient weighing up to 1,000 pounds. As explained above, the blower
may be an appropriately sized pump. The blower assembly 310 is
configured to communicate with a combined control panel and user
interface (not shown) such that an operator can control the
operation of the blower assembly 310 and the settings of the bed
system 10. Depending upon the settings entered by the operator in a
control panel or other control member, the blower assembly 310 can
supply air on a substantially constant basis to the plenum layer
210 and the patient support layer 110 through passageways, such as
supply lines 222, 228, 232 and the tubes 240, 242. While the blower
assembly 310 supplies air to the plenum and support layers 110,
210, the activation valve assembly 410 controls the quantity of air
exiting the activation section 116. The blower assembly 310 can be
mounted to any portion of the bed frame or the support frame for
the bed assembly. Alternately, the blower assembly 310 can be
utilized without an activation valve assembly 410 and monitor and
supply or exhaust air as needed from each group of cells as
required by the specific therapy. For example, in an alternating
pressure therapy the blower assembly 310 may supply from
approximately 20 mm. Hg. to approximately 32 mm. Hg. in the
pressurized group of cells 120 and may entirely exhaust the air
pressure in the other group of cells 120.
[0063] Referring to the schematic of FIG. 17, in one embodiment,
the blower assembly 310 includes a valve assembly 312 with a number
of valves and at least one manifold. In general terms, in one
assembly the blower assembly 310 includes the blower M; a rotation
valve manifold RVM having left and right rotation valves V1, V2 and
a vent valve V3; a patient support manifold PSM having a valve V5
for the head and torso sections 112, 114, a valve V6 for the lower
body section 118 and a vent valve V8; and, an activation manifold
AM having a flow control valve V4 and a torso to
percussion/vibration crossover valve V10. The valves V4 and V10 are
operably linked with the activation section 116 for alternating
pressure, percussion and/or vibration. The precise number and type
of valves varies with the design parameters of the bed system 10,
including the patient support layer 110, the activation section
116, and the plenum layer 210. The schematic also includes the
activation valve assembly 410 that is operably connected to the
activation section 116 to control the exhaust of air from Group A
and Group B cells 120 in the activation section 116. It is
understood that other types of blowers/valves may be utilized to
perform the functions described herein.
[0064] As explained above, in one embodiment of the blower assembly
310 an activation valve assembly 410 is utilized. The activation
valve assembly 410 shown in FIGS. 12-16 is configured to control
the quantity of air discharged or exiting the cells 120 of Groups A
and B in the activation section 116. In one embodiment, the valve
assembly 410 includes a first valve 420 and a second valve 424 in
opposed positional relationship. The first valve 420 is in fluid
communication with the Group A exhaust fitting 138 by a flexible
line 422, and the second valve 424 of the assembly 410 is in fluid
communication with the Group B exhaust fitting 138 by a flexible
line 422. Each valve 420, 424 has a vent 428 configured to release
or vent air discharged from the Group A and B cells 120 in a
controlled manner to ambient. Described in a different manner, the
valve assembly 420 controls the quantity and pressure of air in
Groups A and B for treatment purposes, including alternating
pressure, percussion and vibration treatment.
[0065] Referring to FIG. 12, in one embodiment the valve assembly
410 is mounted to a lower surface of the plenum layer 210. The
plenum layer 210 can include a substantially rigid support base and
the valve assembly 410 can be mounted thereto. The lines 430
represent air supply lines to the activation section 116, namely
Groups A and B. Referring to the schematic of FIG. 17, the valve
assembly 410 controls the discharge of air from the activation
section 116 while the blower assembly 310 supplies air to the
activation section 116. The valve V11 in the schematic corresponds
to the valve 420 and the valve V12 corresponds to the valve
424.
[0066] As shown in the embodiment FIG. 13, the valve assembly 410
includes two distinct valves 420, 424 that are affixed to a
mounting plate 432. Referring to FIG. 14, the valves 420, 424 have
a similar construction wherein each valve 420, 424 includes: a vent
fitting 428, a valve body 434, a bearing 436, a ball valve 438, a
spring 440, and a guide 442. The valve 420, 424 further includes a
cap 444 and fasteners 446 to secure the cap 444 and secure the
valve body 434. Inlet fitting 448 is in fluid communication with
flexible lines 422, 426 which distribute air from cells 120 of
Groups A and B to the valve assembly 410. Specifically, exhausted
air from Group A is supplied to valve 420 via the flexible line
422, while exhausted air from Group B is supplied to valve 424 via
the flexible line 426. Therefore, there is preferably a 1:1
relationship between a group and a valve 420, 424. As shown in
FIGS. 15 and 16, each valve 420, 424 has a plunger 450, wherein the
plungers 450 are positioned on opposite sides of a cam 452,
preferably an eccentric cam.
[0067] The alternating valve assembly 410 has been described above
as having opposed valves 420, 424 wherein there is a 1:1
relationship between the valves 420, 424 and Groups A, B. In
another embodiment, the valves 420, 424 are configured in a
different positional relationship whereby air is exhausted from the
cells 120 of Groups A and B in a similar manner as described above.
For example, the valves 420, 424 can be distinct valves operated
independently. In such an embodiment, one valve could be providing
for vibration therapy in one of the activation cell groups, and the
other valve could be providing for percussion therapy in the other
activation cell groups. Alternatively, one of the valves could be
providing alternating pressure, and flotation/static therapy.
Similarly, the valves could be set for varying timing of the
different therapies provided. Accordingly, it is understood that an
unlimited variety of therapy and therapy timing combinations are
possible with multiple independent valves for each activation cell
group. In yet another embodiment, the valve assembly 410 includes a
single valve 420 that is operably connected to Groups A and B,
whereby the single valve 420 receives and exhausts air from cells
120 in both Group A and Group B. Further, it is understood that any
valve assembly can be positioned within the blower box 310.
[0068] FIGS. 13A and 13B show yet another alternative valve 462,
464 which can be used in the activation valve assembly 410. The
alternative valve 462, 464 includes an inlet 448 which is connected
to a plate 432. The plate 432 is connected with fasteners 446 to
one end of a cylindrically shaped body of the activation valve
assembly. Near the opposite end, the body contains an exhaust shaft
428 which extends through the entire body of the activation valve
assembly 410. The body of the activation valve assembly 410 houses
a guide 442 which surrounds a ball valve 438 and a spring 440. An
O-ring is situated between the interior of the plate 432 and the
spring 440.
[0069] In this embodiment air is supplied from Groups A and B in
the activation section 116, or any other portion of the mattress,
to one of the valves 420, 424 through the inlet fitting 448. A
variable speed motor (not shown) typically drives the cam 452
which, through the plunger 450, unseats one of the balls 438 in an
alternating manner, however, it is understood that other drive
means, such as actuators or solenoids, may be utilized without
departing from the scope of the present invention. The motor is
connected to the cam 452 by coupling shaft 454. The unseating of
the ball 438 and the attendant compression of the spring 440 allows
air within the valve body 434 to flow past the ball 438 and to the
outlet fitting 428 for discharge from the valve 420, 424. Once the
motor has moved the cam 452 to its smallest position, the plunger
450 moves towards the cam 452 and the spring 440 re-seats the ball
438 to prevent air from reaching the outlet fitting 428. By varying
the speed of the motor, the frequency of the valve 420, 424 opening
and closing and the resultant discharge of air through the outlet
fitting 428 can be increased or decreased. Due to the opposed
configuration of the valves 420, 424, the valve assembly 410
alternates between venting the air from either Group A or Group B
thereby causing the cells 120 in the other group to remain
pressurized and exert a force on the patient. In this manner, the
valve assembly 410 provides alternating cell group force
application to a patient's thoracic region. As explained below in
the operations section, the frequency at which the valve assembly
410 alternates determines whether alternating pressure, percussion
or vibration is applied.
[0070] The therapy bed system 10 has several modes of operation,
including standard, high pressure, alternating pressure, pulsation,
percussion, vibration, rotation, flotation, wound therapy and any
combination thereof. For example, the bed system 10 may include a
combination of percussion and vibration, or a combination of
rotation, percussion and vibration, etc. As another example, the
bed system 10 can be placed in a high pressure state for emergency
treatment of the patient, such as CPR. Additionally, the bed system
10 may be utilized for alternating pressure therapy. The precise
number of operational modes is dependent upon the configuration of
the bed system 10 and the end-users desired operating
parameters.
[0071] In the standard mode, the blower assembly 310 supplies air
to each of the head section 112, the torso section 114, the
activation section 116 and the lower body section 118, while the
activation valve assembly 410 is closed to retain generally
constant air pressure with the sections 112-118. The air pressure
level can be a default level or a level entered by an operator. In
another version of the standard mode, different sections 112-118
can be maintained at different pressures. For example, the head and
torso sections 112, 114 can be maintained at a first pressure while
the lower body section 118 can be maintained at a second pressure.
In this mode, the cells 120 and the support surface 127 acts as a
local pressure reduction surface because the interconnecting cells
120 will self compensate or adjust to patient position to evenly
distribute weight applied to the support surface 127.
[0072] In contrast to the standard mode, the percussion mode is a
dynamic mode. While the blower assembly 310 supplies air to the
cells 120 in Groups A and B of the activation section 116, the
activation valve assembly 410 exhausts air in an alternating manner
from Groups A and B thereby affecting the pressure with the Groups.
As an example, when air is exhausted from Group A by the valve
assembly 410, the cells 120 in Group A generally deflate (thereby
reducing their overall height), and the cells 120 in Group B remain
pressurized to support the patient. The cells 120 in Group B may
experience an increase in pressure that increases their overall
height resulting in a force applied to the patient. The exhaustion
of cells in Groups A and B alternate as the cam 452 and the plunger
450 are actuated during operation of the valve assembly 410.
Therefore, the controlled exhaust of air provided by the valve
assembly 410 enables the cells 120 within the Groups A and B to
provide alternating force applications to the patient. In this
manner, the cells 120 and the support surface 127 provide the means
of treatment to the patient, not a separate element. Accordingly,
when the valve assembly 410 closes for a certain group during a
percussion therapy, for example, the group receives an almost
instantaneous pressure increase, thereby causing those cells in the
group to "pop" as may be required by a given therapy regimen. The
force application results a dynamic system with pneumatically
powered cell groups where the pressure therein is actively adjusted
by the valve assembly 410 and the control panel.
[0073] Depending upon the frequency of operation of the valve
assembly 410 and the resulting air exhaustion, the applied force
can be a pulsation force, a percussive force, a vibration force, a
flotation/static force or a combination thereof. The percussive
forces are intended to be roughly equivalent to a procedure that a
nurse would perform on a patient to break loose phlegm from the
walls of the lungs by cupping the hands and beating on the back in
the lung area. The frequency resulting in a percussive force is
roughly one to five beats or cycles per second. The manifold air
pressure of the activation section 116 is roughly 46-56 mm Hg
(25-30 inches of water), whereas during percussion or vibration the
maximum pressure in the head, torso and lower body sections 112,
114, 118 is roughly 9-37 mm Hg (5-20 inches of water).
[0074] The blower assembly 310, the activation section 116 and the
activation valve assembly 410 operate in a similar manner to
provide the vibration mode. Thus, the valve assembly 410 exhausts
air in an alternating manner from Groups A and B to provide the
applied force explained. In contrast to percussion, the frequency
resulting in a vibratory force is roughly 6-25 beats or cycles per
second. The goal of the vibration mode is to move the phlegm that
has been loosened by the percussion action so that it can be
expectorated. As explained above, vibration and percussion can be
combined in one treatment application to obtain the benefits of
both therapies.
[0075] In the rotation mode, the patient is slowly rotated from
side to side to facilitate the movement of fluid in the lungs so
that it can be expectorated. The typical range of rotation is
roughly 5 degrees to 60 degrees. Rotation occurs through the
inflation and deflation of the bladders located beneath the torso
section 114. Rotation can be used in conjunction with percussion
and/or vibration to achieve greater fluid removal from the
patient.
[0076] As identified herein, the therapeutic bed system 10 may be
utilized for alternating pressure. In the alternating pressure mode
the alternating cell 120 portion of the mattress may be the full
size of the bed, or alternating cell activation sections 116 may be
provided in a mattress made of additional cells 120 or of
non-inflatable components, such as foam or gel. Additionally, the
mattress 110 may be placed in a foam frame, may have a foam base
member, and may be wrapped in a mattress cover for use on a
hospital bed as described in related U.S. patent application Ser.
No. 11/349,683. Typically, the cells 120 comprise a plurality of
inflatable components such as soft, fluidly interconnected but
independently movable, air-filled cells 120 which are grouped in
groupings as described above. In a preferred embodiment two
groupings of cells 120, Group A and Group B, are utilized, however
it is understood that additional groupings of cells may be utilized
with the alternating pressure mattress. In the alternating pressure
mode, pressure is alternated between the cells of group A and the
cells of group B. Further, the pressurized cells 120 of each group
are able to redistribute air pressure between each of the cells 120
in the group to allow the cells 120 of the mattress 1200 to conform
to the contours of a patient's body with minimal tissue deformation
to provide a friction and shear relief surface. Rather than being
non-powered, in the alternating pressure air mattress the cells 120
are provided in an open system in connection with a pump or blower
assembly 310, preferably plumbed directly to the chambers of the
air mattress.
[0077] The air cells 120 of the alternating pressure mattress 110
are generally arranged in an array of rows and columns. In a
preferred embodiment the air cells 120 are elongated vertically and
extend from the generally flexible base 122, in a tower-like
configuration. The cross-sectional shape of the cells 120 may be
square, rectangular, round or any other design that provides the
proper qualities to the mattress 110. In a preferred embodiment,
the inflatable components 60 are made of a durable neoprene rubber
that is flame-resistant and can be easily cleaned. Additionally, in
a preferred embodiment the air cells 120 extend approximately 3.5''
from the base 122, however, in an alternate embodiment the cells
120 extend at least 2.5'' from the base 122. When the mattress 110
is used alone on a bed the cells may have a height from 2.5'' up to
and including 10'', however a typically mattress will have cells
that are between 2.5'' and 6.0''. In another embodiment the air
cells 120 are approximately 4.0'' in height. Each of the cells 120
has a sidewall 128 and a top portion 126 defining a patient support
surface 127. Further, each cell 120 has an interior cavity defined
by the interior of the sidewall 128, the top portion 126 and the
base 122. The cavities of the cells 120 of Group A, also referred
to as the first group, are fluidly interconnected together to
define a first group chamber, and the cavities of the cells 120 of
Group B, also referred to as the second group, are fluidly
interconnected together to define a second group chamber, with the
first group chamber not being fluidly interconnected to the second
group chamber. In one therapy the first group of cells has a volume
of air and the other group of cells has a reduced volume of
air.
[0078] The first group of cells 120 has an inlet port 134 and an
exit port 138 to allow air to be injected into the first group of
cells 120 at the inlet port 134 and to allow at least a portion of
the air in the first group of cells 120 to be exhausted at the exit
port 138 as appropriate for the alternating pressure therapy.
Similarly, the second group of cells 120 has an inlet port 134 and
an exit port to 138 to allow air to be injected into the second
group of cells 120 at the inlet port 134 and to allow at least a
portion of the air in the second group of cells 120 to be exhausted
at the exit port 138 as appropriate for the alternating pressure
therapy. The blower or pump 310 is in fluid communication with the
inlet and outlet ports 134, 138 of the mattress 110 and supplies
air pressure to the cells 120 as appropriate in the mattress 110.
Alternatively, each of the group of cells 120 may have only an
inlet port 134 and air may be able to be injected and exhausted
from the same port 134 without requiring a separate exit port 138.
In such an embodiment, the blower or pump 310 is in fluid
communication with each of the inlet ports 134 and can supply and
exhaust air therefrom.
[0079] As shown in FIG. 18, the cells 120 of the first group (i.e.,
the "A" cells) alternate across the mattress 110 with the cells 120
of the second group (i.e., the "B" cells), and preferably they
alternate diagonally across the mattress 110. Referring to the FIG.
18, in a preferred embodiment the mattress 110 has a plurality of
adjacent and opposing edges 131a-d. The cells 120 of the first
group extend in a plurality of diagonal groupings from one edge of
the mattress 110 to an adjacent edge of the mattress 110, and the
cells of the second group also extend in a plurality of diagonal
groupings from one edge of the mattress 110 to an adjacent edge of
the mattress 100 depending on the size and configuration of the
mattress 110. It is possible, however, depending on the
configuration of the mattress that the cells may extend to an
opposing edge of the mattress.
[0080] In a preferred embodiment, the alternating pressure mattress
110 operates with each group of cells 120 having independent
equilibrium flotation capabilities with constant restoring forces.
Accordingly, the individual cells 120 are adapted to move
independently in at least six degrees of freedom, including both
directions in the z-axis (i.e., up and down), both directions in
the x-axis (i.e., side to side) and both directions in the y-axis
(i.e., front to back). Further, in certain embodiments the
individual cells 120 can twist, turn and bend to adapt to the
contours and anatomy of the patient thereon. Further, when the
patient is provided on the mattress 110 the patient is partially
immersed in the cells. With such immersion the forces and pressures
pushing back on the patient are kept equal at all times. More
specifically, because each of the cells 120 in a group are fluidly
interconnected, greater contact area is achieved for dispersion of
pressure on the entire body and the forces and pressures pushing
back on the patient on the mattress are kept substantially equal at
all points on the patient. Thus, the pressure on any one areas of
the body of a patient on the alternating pressure mattress 110 is
minimized.
[0081] In an alternative therapeutic operation, all of the cells
120 of the mattress 110 may be inflated and deflated
simultaneously, and typically cyclically, to raise and lower a
patient thereon.
[0082] FIG. 20 provides a block diagram of another alternate
mattress system 900, wherein the mattress provides therapeutic
treatment to a patient. In this system 900, a mattress assembly 905
having and external cover encasing a mattress 910, a right bolster
assembly 912 and a left bolster assembly 914, wherein each bolster
assembly 912, 914 comprises a bolster 916 and a sub-bolster 918.
Preferably, the bolster 916 of each bolster assembly is positioned
above its respective sub-bolster 918. The overall height of the
bolster assembly 912, 914 generally corresponds to that of the
mattress 910, however alternate embodiments may be provided that
are taller or shorter than the adjacent mattress 910. The system
900 further includes a control unit 920, that as explained below,
is operably connected to the mattress 910 and the bolster
assemblies 912, 914. Additionally, a controller (not shown) is
typically electrically connected to the control unit 920. Although
no alternating pressure, percussion or vibration elements are shown
in the block diagram of FIG. 20, it is understood that both could
be provided with the system 900 in a manner consistent with this
disclosure.
[0083] In this embodiment the mattress assembly 905 has an external
cover that encases the mattress 910 and bolster assemblies 912,
914. Accordingly, the external cover defines a cavity around the
mattress 910. In one embodiment, the mattress 910 has a head
section, a plurality of seat sections, and a plurality of lower
body or foot sections. A high air loss blower 922 within the
control unit 920 supplies air to the cavity at the rate of roughly
5-10 cubic feet per minute. In another embodiment, the blower 922
supplies air to the cells 120 for percussion and/or vibration
treatment. Air is supplied through at least one line to the
bolsters 916 by a compressor 924 located in the control unit 920.
In the embodiment shown in FIG. 23, air is supplied from the
bolster 916 through the valve V in the respective sub-bolster 918
and then to the cells 120 in the particular section of the mattress
910. The bolsters 916 may operate as bladders having a measurable
internal volume which allows for the bolster 916 to act as a
storage plenum for air supplied by the control unit 920. The
sub-bolsters 918 are a generally semi-rigid structure, such as
foam, with internal cavities to accommodate a plurality of pressure
transducers PT and one-way valves V. When the valves are in a
closed position, the cells 120 in the mattress 910 maintain a
constant or static pressure whereby the patient undergoes
floatation support or therapy. In another design configuration, the
valves V are moved from the sub-bolsters 918 to the control unit
920 or within a lower portion of the mattress 910.
[0084] As mentioned above, the control unit 920 contains the high
air loss blower 922 which provides air to the cavity within the
enclosure 905, and the compressor 924 which supplies air to the
bolsters 916 and mattress sections. A combination pressure/vacuum
switch valve 926 is positioned between the compressor 922 and the
bolsters 916, which allows for air to be drawn out of the bolsters
916 in a vacuum mode. The control unit 920 further includes a power
supply, a combined controller and valve board, a muffler, and an
air filter. A user control interface 928 may be mounted to the
control unit 920 or remotely connected to the unit 920. A
electrical connector 930 is electrically positioned between the
control unit 920 and the pressure transducers PT and the valves V
within the sub-bolsters 918. The control unit 920 can be secured to
any portion of the bed frame or support structure, including under
the mattress 910. The user control interface 928 can be operably
mounted in a similar manner, including to one of the bolster
assemblies 912, 914.
[0085] Several alternative embodiments and examples have been
described and illustrated herein. A person of ordinary skill in the
art would appreciate the features of the individual embodiments,
and the possible combinations and variations of the components. A
person of ordinary skill in the art would further appreciate that
any of the embodiments could be provided in any combination with
the other embodiments disclosed herein. Additionally, the terms
"first," "second," "third," and "fourth" as used herein are
intended for illustrative purposes only and do not limit the
embodiments in any way. Further, the term "plurality" as used
herein indicates any number greater than one, either disjunctively
or conjunctively, as necessary, up to an infinite number.
[0086] It will be understood that the invention may be embodied in
other specific forms without departing from the spirit or central
characteristics thereof. The present examples and embodiments,
therefore, are to be considered in all respects as illustrative and
not restrictive, and the invention is not to be limited to the
details given herein. Accordingly, while the specific embodiments
have been illustrated and described, numerous modifications come to
mind without significantly departing from the spirit of the
invention and the scope of protection is only limited by the scope
of the accompanying Claims.
[0087] While the specific embodiments have been illustrated and
described, numerous modifications come to mind without
significantly departing from the spirit of the invention, and the
scope of protection is only limited by the scope of the
accompanying Claims.
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